1708 Atlantic Beach PLRS18-0170 Cash Register Receipt Receipt Numbe
City of Atlantic Beach R5813
DESCRIPTION ACCOUNT CITY PAID
PermitTRAK $207.05
PLR518-0170 Address: 1708 ATLANTIC BEACH DR APN: 169505 1695 $207.05
PLUMBING $202.00
PLUMBING FIXTURES 455-0000-322-10)) 1 21 $147.00
PLUMBING BASE FEE 455-000OL322-1000 1 0 $55.00
STATE SURCHARGES $5.05
STATE DBPR SURCHARGE 4SS-4MO�208-07 $3.03
STATE DCA SURCHARGE 455-00�208-06 $2.02
TOTAL FEES PAID BY RECEIPT: R5813 $207.05
Date Paid:Tuesday,July 24,2018
Paid By:CHRISTIAN BROTHERS PLUMBING
Cashier:JDS
Pay Method: CHECK Paid
Printed:Tuesday,July 24,2018 9:25 AM I Of 1
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
PLUMBING RESIDENTIAL -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: PLRS18-0170
Description:
Estimated Value: 10DD0
Issue Date:
Expiration Date:
PROPERTY ADDRESS:
Address: 1708 ATLANTIC BEACH DR
RE Number. 1695051695
PROPERTY OWNER:
Name: ATLANTIC BEACH PARTNERS LLC
Addres,s: 414 OLD HARTS RD STE 502
FLEMING ISLAND, FL 32003
GENERAL CONTRACrOR INFORMATION:
Name:
Address:
Phone:
Name: CHRISTIAN BROTHERS PLUMBING
Addrean. 5587 COMMONWEALTH AVE
JACKSONVILLE, FL 32254
Phone:
PERMIT INFORMATION:
Please see attached conditions of approval.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOU PAYING TWICE FOR
IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF
COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB
SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN
FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY
BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
NOTICE: In addition to the requirements of this permit,dim may be additional restrictions
applicable to this property that may be found in the public records of this county, and there may
be additional permits required from other governmental entities such as water management
districts,state agencies, or federal agencies.
* A notice of Commencement is only required for work exceeding an estimated value of
$2,500. For HVAC work,a Notice of Commencement is only required when HVAC work
exceeds and estimated value of$7,500.
PLUMBING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach.FL 32233
Ph(904) 1.47-5826 Fm (904)247-5845
JOB ADDRESS:/ Aqlnbr- &V_h �YjVa ",Jhr 6,1".17. PERMIT CSIS-0(16
# Do I A
NEW OR REPLACEMENT INSTALLATION* Pr--,----t Value wo -00
TYPE oF FLYTuRE QTY TYPE oF FixTuRE QTF
Bathtub So 0
Setic Tank&Pit
Clothes Washer i riwer
Dishwasher I Shower Pan
Drinking Fountain 0 Slop Sink
Floor Drain ID Three Compartment Sink
Floor Sink Toilet
How Bibs Urinal
Kitchen Sink Vacuum Breakers
Laundry Tiny Water Connected Appliances
Lavatc, Water Heater
Other Fry
ixtures Water Tmatine Systein
RE-PIPE:
TYPE ot,FixTuRE QTY TYPE oF FixTuRE QTY
Bathtub Septic Tank&Pit
Clothes Washer Shower
Dishwasher Shower Pan
Me I—...... Slop 91-1-,
Fluor Drain Tbree Compartment Sink
Floor Sink Toilet
Hose Bibs Urinal
Kitchen Sink Vacuum Breakers
Laundry Tray Water Connected Appliances
Lavatog Water Heater
Other Fixtures Water Treating System
MISCELLANEOUS:
Ej Sewer Replacement Ei Back Flow Preventer o Grease Interceptor(Trap) gallons(Requires 3 sets of plans)
Ei Lawn Sprinkler System-Nurnber of Heads Ei Well
**&fRWD Well Completion Forni.Completed form to be submitted to the Building Department for final inspection."
o Other
rermt Decconcs vote it won,does not commeence wiman a six morm,persh,or won,is auspermext or amandrom tor six ancouns,I nueny cermy that I have new
this application and know the same to be true and correact. All previsions of laws and ordinmccs governing this work will be complied with whether specif ed
or noL The permit does not give authority to violate the omvisions of my other state or local law regulatio.constmake,orhe performance of construction.
Property Owners NamemLF1- \/Z 14m*d Phone Number
Plumbing Company X!4,an sjj AMR&Ph,,&q SQ ML F,%& �0�3
Co. Address: q�qol, S4- city op" State F1, Zil) sae-xj
License Holder (Print) x-it �State Certification/Registration 0 Z Y6
Notarized Signature of License Holder Ar/-"t
wo
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lsubsc�libcdd before me N c�
�""�T-m GIOGER
of Notary Public
EXPIRES octshe 6